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Expat Investor : November 2008
HEALTHCARE Health issues in Kenya A country profile from AXA PPP Healthcare in June 2008 in the Kisumu district in western Kenya. The worst affected areas include the townships of Manjatta, Nyalenda and Obunga in Kisumu east. You should drink or use only boiled or bottled water and avoid ice in drinks. Food prepared by unlicensed vendors should be avoided at any time. If you suffer from diarrhoea during a visit to Kenya you should seek immediate medical attention.” A major consideration to make Kenya is situated on the equator on Africa’s east coast and has been described as ‘the cradle of humanity’. According to UN figures, from 2005 there was a population of 34.3 million people living in the country. Since Kenya became independent from Briton in 1963 local business and trade has flourished in the capital city Nairobi, which is now the largest city between Johannesburg and Cairo. Kenya is also a significant tourist destination, with miles of beaches and over 40 national parks and reserves. It is not surprising, then, that, according to the Kenya Tourist Board, 205,000 British tourists visited the country in 2007. The most pleasant time to visit would be in January and February when the weather is hot and dry and Kenya’s birdlife flocks to the Rift Valley lakes in great numbers. The weather conditions are mostly pleasant throughout the year, although the wet seasons are between March and May and then to a lesser extent in November and December. Kenya’s sanitation systems are poor and it is estimated that only 45% of the population have access to safe water. The tap water is considered to be unsafe, as cholera, typhoid and a number of bacterial infections are carried in the water systems. The Foreign and Commonwealth Office states: “An outbreak of cholera was confirmed when deciding whether to move to another country is the healthcare facilities and treatment available to you and your family. There is no reciprocal healthcare agreement between the UK and Kenya, so you will need to be aware of the healthcare entitlements available to you in this country. The medical facilities in Kenya are widely available in the major cities and are considered to be of a good standard. However, dentists are rare and very expensive, so you may wish to undertake any major dental work in your home country. Pharmacies are readily available and some are open 24 hours a day. It is definitely worth noting that unless you have health insurance you will need to pay in cash for any immediate medical care. Your consulate office should be able to help you arrange for air evacuation or other care in the event of an emergency, but you may have to cover all of the cost or contribute to it. The Foreign and Commonwealth Office “strongly recommend that you obtain comprehensive travel and medical insurance before travelling. Medical facilities, including ambulance services, outside major cities are very limited, and your insurance should cover you for the possibility of medical repatriation. You should check also any exclusions, and that your policy covers you for all the activities you want to undertake.” Expats should also be aware that due to recent changes in legislation in the country, private medical insurers must now conduct any new private medical insurance business in Kenya through a duly licensed Kenyan Medical Insurance Provider (MIP), with a place of business in Kenya. For example, AXA PPP Healthcare now conduct all of their Kenyan business through JW Seagon Ltd or Goldstar Healthcare Ltd. Another key factor to consider is the vaccinations required before you travel to Kenya. www.netdoctor.co.uk recommends that you receive the following inoculations: ? Typhoid – 10 days before. ? Hepatitis A – two weeks before. ? Diphtheria – three months before. ? Tuberculosis – three months before. ? Hepatitis B – two months before. ? Rabies – one month before. ? Meningococcal meningitis – two to three weeks before. ? Yellow fever – 10 days before. A certificate of vaccination feel the benefi ts NEW expatriate health insurance for total peace of mind wherever life takes you Get a Quick Quote Apply now for fantastic world-wide health care cover with free travel insurance! www.william-russell.com T +44 1276 486455 One year’s FREE travel insurance worth $104 with every Global Health Elite application received in November This promotion is not available to groups. Log on to www.william-russell.com/freetravel to fi nd out more. William Russell Limited is authorised and regulated in the UK by the Financial Services Authority Registered in England and Wales. Registration number 2687939. William Russell (Asia Pacifi c) Ltd is licensed as an offshore insurance broker under the Offshore Insurance Act 1990, Licence no. BS200758. Fast Facts 99008 “I love the feeling that my employees have a choice of hospital” Would you want to know that, no matter where you were in the world, you would be taken to the best place for treatment? To get the feeling, there’s only one number to call. against yellow fever might also be required if entering Kenya from an infected area. As with all countries, vaccination requirements may vary from time to time. In light of this, you will need to check with your doctor well in advance of your departure date. It also worth knowing that Malaria is common in Kenya. Malaria is found outside of Nairobi and in areas below 1,800 metres above sea level, so it is vital that you take precautions to protect against this disease. You can help to protect yourself by taking anti-malaria medication, using insect repellents and by covering up with clothing, such as long sleeve shirts and trousers. Finally, HIV and AIDS are also very prevalent in the country, with an estimated 1.2 million adults aged 15 or over living with HIV in Kenya (2006 report on the Global AIDS Epidemic the UNAIDS/WHO Working Group). Therefore you should exercise normal precautions to avoid exposure to HIV and AIDS. Fast Facts 99190 Unrivalled network of hospitals and clinics Call +44 (0) 1273 208181 or visit www.bupa-intl.com 16 EXPAT INVESTOR ? November 2008 Your calls will be recorded and may be monitored. The above example draws from the experiences of a number of our members or staff; it is not intended to represent the details of any specific individuals or their circumstances. Fast Facts 99009 expatinvestor.com